{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:53:39Z","timestamp":1777046019457,"version":"3.51.4"},"reference-count":14,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,4,9]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>Congenital intestinal webs of the bowel are an exceedingly rare cause of mechanical bowel obstruction in adults. Their presentation beyond the neonatal period is rare and may represent a diagnostic challenge. We report a case of multiple intestinal webs in an adolescent patient who initially presented with chronic abdominal pain, constipation and iron deficiency anaemia refractory to oral supplementation. The patient underwent evaluation for multiple gastrointestinal pathologies, including coeliac disease, eosinophilic gastrointestinal disorders and inflammatory bowel disease. As part of the evaluation, the patient underwent wireless capsule endoscopy. However, the capsule failed to progress beyond the small bowel. Laparoscopic-assisted retrieval revealed 18 intestinal webs which were surgically resected with subsequent resolution of symptoms. Although rare, failure of progression of a wireless capsule endoscope should raise concerns of possible intestinal webs in children as an underlying aetiology. Intestinal strictures should be further investigated and multiple webs must always be ruled out.<\/jats:p>","DOI":"10.1136\/bcr-2025-266806","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T14:30:15Z","timestamp":1777041015000},"page":"e266806","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed presentation of multiple congenital intestinal webs"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8655-0948","authenticated-orcid":false,"given":"Yousef","family":"El-Gohary","sequence":"first","affiliation":[{"name":"Division of Pediatric General, Thoracic and Fetal Surgery, Chidren's Hospital Univeristy of Missouri, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Chung","sequence":"additional","affiliation":[{"name":"Division of Pediatric General, Thoracic and Fetal Surgery, Chidren's Hospital Univeristy of Missouri, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghassan M","family":"Hammoud","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Missouri System, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles B","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology, and Nutrition, University of Missouri System, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler","family":"Severance","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hematology Oncology, University of Missouri System, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed I","family":"Marwan","sequence":"additional","affiliation":[{"name":"Division of Pediatric General, Thoracic and Fetal Surgery, Chidren's Hospital Univeristy of Missouri, Columbia, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"2026042407300558000_19.4.e266806.1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.pedneo.2011.11.004","article-title":"Congenital webs of the gastrointestinal tract: 20 years of experience from a pediatric care teaching hospital in Taiwan","volume":"53","author":"Lin","year":"2012","journal-title":"Pediatr Neonatol"},{"key":"2026042407300558000_19.4.e266806.2","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1007\/s00383-009-2422-y","article-title":"Prognostic factors in jejuno-ileal atresia","volume":"25","author":"Burjonrappa","year":"2009","journal-title":"Pediatr Surg Int"},{"key":"2026042407300558000_19.4.e266806.3","first-page":"101","article-title":"Intermittent obstruction resulting from multiple intestinal webs","volume":"24","author":"Lobo Prabhu","year":"2010","journal-title":"Can J Gastroenterol"},{"key":"2026042407300558000_19.4.e266806.4","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1111\/cge.12553","article-title":"Compound heterozygous mutations in TTC7A cause familial multiple intestinal atresias and severe combined immunodeficiency","volume":"88","author":"Yang","year":"2015","journal-title":"Clin Genet"},{"key":"2026042407300558000_19.4.e266806.5","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1016\/S0140-6736(55)92852-X","article-title":"Congenital intestinal atresia; 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